MEDICARE: A HAPPY SOLUTION HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1871236372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A HAPPY SOLUTION HOME CARE

Provider Business Mailing Address
First Line	:	1777 TAMIAMI TRL STE 304
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33948-1083
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1777 TAMIAMI TRL STE 304
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33948-1083
Country	:	US
Telephone Number	:	941-623-5333
Fax Number	:

Authorized Official
Title or Position	:	MNG
Name	:	ARAIMY HERNANDEZ GONZALEZ
Credential	:
Telephone Number	:	941-623-5533

Provider Enumeration Date	:	04/14/2022
Last Update Date	:	04/14/2022

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